This form is only for students residing in traditional residence halls and residential houses. If you live in Hendrix-owned apartments or the Language House, please review the Spring Break closing information here.
This request should be as detailed as possible. Anyone submitting such a request after the deadline of 5:00 p.m. Friday, March 9, 2018 will automatically be assessed a late request fee of $75.00 to their account if their request is granted. Not all requests will be granted. Each member of a Hendrix-sponsored group that will be here for all or part of the break must also complete a Spring Break Request Form no later than 5:00 p.m. on Friday, March 9, 2018 which will be approved only after the sponsor sends a roster to firstname.lastname@example.org. If you are part of one of these groups, please make sure to specify this on your form. No break requests will be reviewed during any period while the College is closed. You will be informed of the status of your Spring Break Request by your Area Coordinator via email.
Hendrix Email Address:
Hendrix ID number:
Specific Residential Facility:
Market Square South
Room Number: Please choose:
Day Requesting to Leave Late:
Day Requesting to Return Early:
Please provide a specific reason for your stay late/early return request:
E-mail: email@example.comPhone: 501.450.1416Fax: 501.450.1455